Ophth Ultrasound b & quant a at Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$131.99 with Florida Health Care Plan vs $411.62 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care - Hmo | $131.99 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $138.94 | — |
| Bcbs | Medicare Managed Care - Hmo | $143.11 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $144.50 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $145.89 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $147.28 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $148.67 | — |
| Humana | Medicare Managed Care - Hmo | $154.50 | — |
| Aetna | Qhp Exchange | $256.15 | — |
| Unitedhealthcare | Compass Exchange | $262.60 | — |
| Unitedhealthcare | Nexus Hmo | $262.60 | — |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $262.60 | — |
| Unitedhealthcare | Hmo/Ppo | $262.60 | — |
| Oscar | Individual Epo | $296.76 | — |
| Cigna | Surefit Epo | $298.35 | — |
| Aetna | Hmo/Ppo | $387.47 | — |
| Cigna | County Of Volusia Hmo Employee | $411.62 | — |
| Cigna | Hmo/Ppo | $411.62 | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $131.99 – $411.62 |
| martin north hospital | Stuart | $722.15 | $69.38 – $555.50 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $131.99 – $302.73 |
| Adventhealth Lake Wales | Lake Wales | not published | $138.94 – $308.45 |
| Adventhealth Tampa | Tampa | not published | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $131.99 – $395.29 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $251.89 – $725.48 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $138.94 – $253.70 |